Cruz S, Ko A, Chi D L. A Qualitative Study on Dentists' Communication Approaches in Managing Fluoride-Hesitant Caregivers. JDR Clin Trans Res 2023; DOI: 10.1177/23800844231203673.

Many do it badly - unengaged, detached and authoritarian.

Caregivers may be hesitant about allowing the application of fluoride varnish to children in their care. Twenty-seven dentists were interviewed about reactions which included:

  • Leaving decisions entirely to the caregiver - to avoid conflict but still recommending its use - described as reductionist and low engagement

  • Educating the caregiver - describing the benefits and citing the scientific evidence - moderate engagement and detachment

  • Insisting on fluoride application - even when requested not to ask again, asking at every visit - authoritarian and pleading

  • Engaging with the caregiver and the child - empathising, opening a dialogue and offering alternatives - tailored communication and high engagement - the preferred approach.

The authors suggest that most of these approaches are not evidence-based, and that there is a need for education in communication skills. Dental students should be exposed to evidence-based patient provider communication strategies and be able to demonstrate them.